Use of a Computerized Medication Shared Decision Making Tool in Community Mental Health Settings: Impact on Psychotropic Medication Adherence.
Healthcare reform emphasizes patient-centered care and shared decision-making. This study examined the impact on psychotropic adherence of a decision support center and computerized tool designed to empower and activate consumers prior to an outpatient medication management visit. Administrative dat...
| Publicado en: | Community Mental Health Journal Vol. 49; no. 2; pp. 185 - 193 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Apr2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=87357337&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 87357337 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Apr2013 vid: 49 iid: 2 pid: 237 pub: Springer Nature artinfo: ui: 87357337 10.1007/s10597-012-9528-8 ppf: 185 ppct: 8 formats: fmt: @attributes: type: P size: 194KB tig: atl: Use of a Computerized Medication Shared Decision Making Tool in Community Mental Health Settings: Impact on Psychotropic Medication Adherence. aug: au: Stein, Bradley Kogan, Jane Mihalyo, Mark Schuster, James Deegan, Patricia Sorbero, Mark Drake, Robert affil: RAND Corporation, 4570 Fifth Avenue, Suite 600 Pittsburgh 15213 USA UPMC Center for High Value Health Care, U.S. Steel Tower, 9th Fl., 600 Grant Street Pittsburgh 15219 USA Community Care Behavioral Health Organization, One Chatham Center, 112 Washington Place, Suite 700 Pittsburgh 15219 USA 17 Forest Street Byfield USA Dartmouth Psychiatric Research Center, Rivermill Commercial Center, 85 Mechanic Street Suite B4-1 Lebanon 03766 USA su: Psychiatric drugs Drugs Patient compliance Convalescence Decision support systems Probability theory Research funding Evaluation research Data analysis software sug: subj: Psychiatric drugs Drugs Patient compliance Pharmaceuticals and pharmacy supplies merchant wholesalers Drugs and Druggists' Sundries Merchant Wholesalers Pharmaceutical and medicine manufacturing Convalescence Decision support systems Probability theory Research funding Evaluation research Data analysis software keyword: Computer intervention Medication adherence Psychotropic medication Recovery Shared-decision making Computer intervention Medication adherence Psychotropic medication Recovery Shared-decision making ab: Healthcare reform emphasizes patient-centered care and shared decision-making. This study examined the impact on psychotropic adherence of a decision support center and computerized tool designed to empower and activate consumers prior to an outpatient medication management visit. Administrative data were used to identify 1,122 Medicaid-enrolled adults receiving psychotropic medication from community mental health centers over a two-year period from community mental health centers. Multivariate linear regression models were used to examine if tool users had higher rates of 180-day medication adherence than non-users. Older clients, Caucasian clients, those without recent hospitalizations, and those who were Medicaid-eligible due to disability had higher rates of 180-day medication adherence. After controlling for sociodemographics, clinical characteristics, baseline adherence, and secular changes over time, using the computerized tool did not affect adherence to psychotropic medications. The computerized decision tool did not affect medication adherence among clients in outpatient mental health clinics. Additional research should clarify the impact of decision-making tools on other important outcomes such as engagement, patient-prescriber communication, quality of care, self-management, and long-term clinical and functional outcomes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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